Attachment_2-Pricing_Schedule_DRAFT.xlsx

XLSX spreadsheet 30 KB Posted

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Medical, Psychological, Fitness and Drug Testing
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HSCEMD-17-R-00001
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DRAFT Pricing Schedule

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Questions_and_Answers_Consolidated_2.pdf PDF
Section_C__E_HSCEMD-17-R-00001_4.13.17_with_Track_Changes_Cont.docx DOCX document
Section_C__E_HSCEMD-17-R-00001_4.21.17_Final_Version.pdf PDF
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Attachment_1_-_Performance_Work_Statement_4.13.17_with_Track_Changes.docx DOCX document
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Appendix_K_Redacted_Medical_Follow_Up_Letter_-_Example.pdf PDF
Appendix_L_-_Fitness_Audio.mp3 MP3 file
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Appendix_I_-_Cities_Requiring_50_Miles.pdf PDF
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Attachment_4_-Contractor_Performance_Eval_Survey.docx DOCX document
HSCEMD-17-R-00001_1449.pdf PDF
Attachment_2-Pricing_Schedule.xlsx XLSX spreadsheet
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Appendix_B_DOJ_Medical_Standards_1999.pdf PDF
Appendix_H_5_CFR_339_Medical_Qualifications_Jan_2017.pdf PDF
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Attachment_3-_Questions_and_Comments_Template.docx DOCX document
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Attachment_5_-_List_of_Appendices_TW_3.27.17.docx DOCX document
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Section_C__E_HSCEMD-17-R-00001_with_Track_Changes.docx DOCX document
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Section_C__E_HSCEMD-17-R-00001_DRAFT_3.16.17.pdf PDF
Fitness_Audio.mp3 MP3 file
Appendix_A_specimen-collection-handbook-2014.pdf PDF
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Attachment_4_-Contractor_Performance_Eval_Survey.docx DOCX document
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Appendix_E_ICE_Personnel_-_Duty_Locations.pdf PDF
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Appendix_B_DOJ_Medical_Standards_1999.pdf PDF
Appendix_C_Medical_Review_Officer_Manual.pdf PDF
Synopsis_-_HSCEMD-17-R-00001.pdf PDF
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Schedule

Estimated Period of PerformancePeriod 17/1/176/30/18Period 27/1/186/30/19Period 37/1/196/30/20Period 47/1/206/30/21Period 57/1/216/30/22-8 Ext7/1/221/1/2366 Month Total
Item No.Supplies/ServicesQtyUnitRateTotalQtyUnitRateTotalQtyUnitRateTotalQtyUnitRateTotalQtyUnitRateTotalQtyUnitRateTotalQtyTotal
0001Pre-Employment
0001AAPre-Employment Medical Examination26000Each$ - 026000Each$ - 026000Each$ - 026000Each$ - 04500Each$ - 02250Each$ - 0$ - 0110,750$ - 0
0001ABPre-Employment Physical Fitness Test23000Each$ - 023000Each$ - 023000Each$ - 023000Each$ - 02200Each$ - 01100Each$ - 0$ - 095,300$ - 0
0001ACPre-Employment Drug Test Urinalysis Collection30000Each$ - 030000Each$ - 030000Each$ - 030000Each$ - 03000Each$ - 01500Each$ - 0$ - 0124,500$ - 0
0001ADExpediting Fee upon request of Agency10Each$ - 010Each$ - 010Each$ - 010Each$ - 010Each$ - 05Each$ - 0$ - 055$ - 0
0001AETravel1LO$ 25,000.001LO$ 25,000.001LO$ 25,000.001LO$ 25,000.00$ 25,000.00$ 12,500.00$ 137,500.00
0002Fitness for Duty / Independent Medical Examinations
0002AAGeneral Medical Independent Medical Examination with Report20Each$ - 020Each$ - 020Each$ - 020Each$ - 020Each$ - 010Each$ - 0$ - 0110$ - 0
0002ABSpecialty Consultant Independent Medical Examination (IME) with Report
0002AB1Specialty Consult - Internal Medicine (IME) with Report6Each$ - 06HR$ - 06HR$ - 06HR$ - 06HR$ - 03HR$ - 0$ - 033$ - 0
0002AB2Specialty Consult - Cardiology (IME) with Report6Each$ - 06HR$ - 06HR$ - 06HR$ - 06HR$ - 03HR$ - 0$ - 033$ - 0
0002AB3Specialty Consult - Orthopedic (IME) with Report6Each$ - 06HR$ - 06HR$ - 06HR$ - 06HR$ - 03HR$ - 0$ - 033$ - 0
0002AB5Specialty Consult - Psychiatric (IME) with Report6Each$ - 06HR$ - 06HR$ - 06HR$ - 06HR$ - 03HR$ - 0$ - 033$ - 0
0002ACCertified Independent Medical Evaluation with Report6Each$ - 06HR$ - 06HR$ - 06HR$ - 06HR$ - 03HR$ - 0$ - 033$ - 0
0002ADForensic Psychiatric Evaluation with Report6Each$ - 06HR$ - 030HR$ - 030HR$ - 030HR$ - 015HR$ - 0$ - 0117$ - 0
0002AEAncillary Medical Tests - Functional Capacity Evaluation with Report20Each$ - 020Each$ - 020Each$ - 020Each$ - 020Each$ - 010Each$ - 0$ - 0110$ - 0
0002AFAncillary Medical Tests - Neuropsychological Testing with Report10Each$ - 010Each$ - 010Each$ - 010Each$ - 010Each$ - 05Each$ - 0$ - 055$ - 0
0002AGAncillary Medical Tests - Exercise Stress Test with Report10Each$ - 010Each$ - 010Each$ - 010Each$ - 010Each$ - 05Each$ - 0$ - 055$ - 0
0002AHIndependent Medical Examination - No Show5Each$ - 05Each$ - 05Each$ - 05Each$ - 05Each$ - 05Each$ - 01$ - 0
0002AISecondary and Tertiary Reviews (Paper Only) - BILLED AT AN HOURLY RATE450HR$ - 0450HR$ - 0450HR$ - 0450HR$ - 0450HR$ - 0225HR$ - 0$ - 02,475$ - 0
0002AJInternal Medicine (IME) Specialist, Additional Hours - BILLED AT AN HOURLY RATE18HR$ - 018HR$ - 018HR$ - 018HR$ - 018HR$ - 09HR$ - 0$ - 099$ - 0
0002AKCardiology (IME) Specialist, Additional Hours - BILLED AT AN HOURLY RATE18HR$ - 018HR$ - 018HR$ - 018HR$ - 018HR$ - 09HR$ - 0$ - 099$ - 0
0002ALOrthopedic (IME) Specialist, Additional Hours- BILLED AT AN HOURLY RATE18HR$ - 018HR$ - 018HR$ - 018HR$ - 018HR$ - 09HR$ - 0$ - 099$ - 0
0002AMPsychiatric (IME) Specialist, Additional Hours - BILLED AT AN HOURLY RATE18HR$ - 018HR$ - 018HR$ - 018HR$ - 018HR$ - 09HR$ - 0$ - 099$ - 0
0003Drug Free Work Place
0003AARandom Drug Test Urinalysis Collection2687Each$ - 02687Each$ - 02687Each$ - 02687Each$ - 02687Each$ - 01343.5Each$ - 0$ - 014,779$ - 0
0003ABPost-Accident Drug Test Urinalysis Collection30Each$ - 030Each$ - 030Each$ - 030Each$ - 030Each$ - 015Each$ - 0$ - 0165$ - 0
0003ACReasonable Suspicion Drug Test Urinalysis Collection30Each$ - 030Each$ - 030Each$ - 030Each$ - 030Each$ - 015Each$ - 0$ - 0165$ - 0
0003ADStatistician for Random Drug Test12Each$ - 012Each$ - 012Each$ - 012Each$ - 012Each$ - 06Each$ - 0$ - 066$ - 0
0003AELitigation Package (Laboratory Documentation for Positive Drug Tests Reports)10Each$ - 010Each$ - 010Each$ - 010Each$ - 010Each$ - 05Each$ - 0$ - 055$ - 0
0004Ancillary Services
0004AAOne Stop Mobile Event with Fitness Testing (3 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 012$ - 0
0004ABOne Stop Mobile Event with Fitness Testing (4 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 03Each$ - 013$ - 0
0004ACOne Stop Mobile Event with Fitness Testing (5 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 03Each$ - 013$ - 0
0004ADOne Stop Mobile Event minus Fitness Testing (3 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 012$ - 0
0004AEOne Stop Mobile Event minus Fitness Testing (4 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 03Each$ - 013$ - 0
0004AFOne Stop Mobile Event minus Fitness Testing (5 day event)2Each$ - 02Each$ - 02Each$ - 02Each$ - 02Each$ - 03Each$ - 013$ - 0
Total CostBase Year$25,000.00Opt 1$ 25,000.00Opt 2$ 25,000.00Opt 3$ 25,000.00Opt 4$ 25,000.00-8 Ext$ 12,500.0066 Month Total$ 137,500.00
$ 137,500.00

Sheet1

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